PS - Satisfaction Survey Compliance Tracker
Name: 


A red asterisk (*) indicates required questions.

  1. RACF ID # - format (EF0000)*


  1. Patient ID #*


  1. Caller Type*
    Patient / Non-Patient
    Dr's Office / Pharmacy / Benefits Office / Third Party


  1. Was the call transferred to another Group? (RTL, PC RPh, Prior Authorization, CDH, MCC, Triage, Internal Spanish Team, Accredo, Benefits Office, Web Support, Onshore Rep)*
    Yes
    No


  1. Did you close the call with the appropriate spiel - "Have I answered all your questions for today?"*
    Yes
    No


  1. Did you advice the caller to stay on the line to participate in the satisfaction survey? - "Please stay on the line to participate in a brief survey about your experience today."*
    yes
    no
    call got disconnected before survey was offered


  1. Did the caller decline?*
    Yes
    No


  1. If yes, please select from the reasons below*
    Caller was in a hurry
    Caller does not want to participate in the survey
    Others


  1. If Others, please explain*





Saibal Bose
Learning and Quality Excellence
Concentrix
Bangalore